Organization Active NPI

Vestibular Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1700516606
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VESTIBULAR THERAPY SPECIALISTS, LLC
Practice address
10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200
Phone
(206) 672-0145
Fax
(855) 564-1831
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaela Pauly, DPTNPI 1316487457
Title
Owner
Phone
(206) 672-0145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200

Mailing address

10564 5TH Ave NE Ste 405
Seattle, WA 98125-7200
Phone (206) 672-0145

Other practice location 1

205 SE Wilson Ave Ste 1
Bend, OR 97702-1799
Phone (541) 639-4598

Other names 1

  • Vestibular Therapy Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221010001983 WA Part B Supplier - Clinic/Group Practice 9537545850 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA
O20221116000149 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537545850 Receives reassigned benefits from 3 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

477 NE Greenwood Ave
Ste B
Bend, OR 97701
Phone (541) 639-4598

10564 5th Ave NE
Ste 203
Seattle, WA 98125
Phone (206) 367-1345

925 N 130th St
Ste 104
Seattle, WA 98133
Phone (206) 672-0145

10564 5th Ave NE
Ste 405
Seattle, WA 98125
Phone (206) 306-9026

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1700516606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-672-0145",
            "fax_number": "855-564-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-672-0145",
            "fax_number": "855-564-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 SE Wilson Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021799",
            "country_code": "US",
            "telephone_number": "541-639-4598",
            "fax_number": "855-546-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VESTIBULAR THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "KAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-672-0145",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vestibular Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.